When your partner is infected with HIV/AIDS what are chances infected when you don’t have any wound on your mouth?


Thanks Dr when your partner is infected with HIV/AIDS what are chances infected when you don’t have any wound on your mouth?
Afayo


Hello!


Thank you for reaching out to us about your concern about HIV/AIDS! You are wondering what are the chances of getting infected when you don’t have any wounds in your mouth.
I want to specify that I am not a doctor or a nurse, not to mislead you. I am sexology student, which is a field close to psychology. I will help you with the best of my knowledge, but you could go talk to a doctor or health professional if you still need answers or help.
 
What I am understanding from your question is that you had oral sex with someone who is HIV positive. Oral sex is the least risky sexual activity amongst vaginal and anal intercourse when it comes to HIV sexual transmission. In fact, the probability of transmission is extremely low. If your partner used a condom, the risk is close to none. You can read this article to know more about oral sex and HIV transmission. 
 
Are you familiar with U=U (undetectable = untransmittable)? There are ways to make the transmission risk of HIV negligible. How?
The person carrying HIV can take a antiretroviral treatment (medication) everyday so they stay healthy and live a functional life. They have to see a doctor to keep up on their viral charge (the quantity of the virus in the blood). An undetectable viral charge is under 200 copies of the virus per mL of blood. You could ask your partner if they are keeping their viral charge under 200 copies, taking the medication and seeing a doctor regularly. These measures will protect you effectively against HIV, but not against other STIs. Only a condom will! If you want to know more about U=U, it is well explained here.
 
If you are still concerned about being infected, you could use PEP (Post Exposition Prophylaxis), if you had the sexual intercourse you are referring to within the last 72 hours. It is an expensive, long (30 days) and unpleasant treatment to take. The sides effects are important, but its efficacy to stop the virus is up to 75 % – 80 %. To get it, you need to go to the hospital as soon as you can.

You can also get tested for HIV. If you are living in Quebec, this resource will be very helpful to answer your question and guide you to get tested. Indeed, the service is free (with RAMQ) and confidential if you are over 14 years old in Quebec. If you live outside of Quebec, you can Google-search «STI screening clinic near me» or «HIV screening clinic near me» and look for a place you trust. I recommend you don’t get tested too early, because it is only after 30 days that they can more accurately detect HIV in your blood.
 
Now, if you get a screening and the test’s results are negative (meaning you’re not infected), you have an option to keep yourself safe.  
Have you ever heard of PrEP (Pre Exposition Prophylaxis)? It is a pill that reduce the risks of getting HIV, and HIV only. It blocks the virus away from entering your body. You would have to take it everyday and do medical follow-ups afterward. If you are interested to know more about PrEP, or anything related to your sexuality and HIV, this website is amazing https://thesexyouwant.ca/ . You can also browse on https://www.catie.ca/en/home, a simple and trustable website where you can find about everything on HIV.
 
I know this is a lot of information, numbers and advices. In short, oral sex is the least risky sexual contact when talking about HIV. Your chances of being infected are very (very!) small, particularly if you used a condom or if your partner is keeping the virus under control with medication. If in doubt of being infected, you have can take PPE which will attack the virus, or wait and get tested.
Then, if you have HIV, doctors would take care of you and explain everything you need to know to stay healthy. HIV is not a deadly virus anymore : many people live a perfectly fine life with it!
Otherwise, you can use a condom and/or PrEP to keep you safe in the future.
I hope I helped you out and answered your questions. If you are still concerned about something, we will be happy to help you!   
 
Fanny, volunteer for AlterHeros.